GWENDOLYN M FORD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041330

License Status

INACTIVE

Business

First Name

GWENDOLYN M

Last Name

FORD

Business Name

GWENDOLYN M FORD

Original Issue Date

02/02/1977

Expiration Date

01/31/1989

City

EAST ST LOUIS

State

Zip

62205

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005